CAJ | 학술논문

收集2005年6月至2009年10月间呼吸科和神经内科住院治疗的老年吸人性肺炎患者125例做观察.分析发现,老年吸人性肺炎临床表现不典型,以精神萎靡为主(占56%),最多见的基础疾病为神经系统疾病(占64%),并发呼吸衰竭的比例高达46%,且死亡率达21%;病原菌以革兰阴性杆菌为主,占57%;平均住院时间为28 d,平均住院费用2.5万元,均明显高于普通肺炎.说明老年吸入性肺炎临床症状不典型、重症患者多、治疗费用大、预后差.
수집2005년6월지2009년10월간호흡과화신경내과주원치료적노년흡인성폐염환자125례주관찰.분석발현,노년흡인성폐염림상표현불전형,이정신위미위주(점56%),최다견적기출질병위신경계통질병(점64%),병발호흡쇠갈적비례고체46%,차사망솔체21%;병원균이혁란음성간균위주,점57%;평균주원시간위28 d,평균주원비용2.5만원,균명현고우보통폐염.설명노년흡입성폐염림상증상불전형、중증환자다、치료비용대、예후차.
Totally, 125 elderly inpatients with aspiration pneumonia (AP) were enrolled from departments of respiratory medicine and neurology at Zhongnan Hospital, Wuhan during June 2005 to October 2009 for analysis. Results showed that listlessness was manifested in 70 cases (56%), primary neurological illness in 80 cases (64%), 57 of them (46%) complicated with respiratory failure and 26 died with case-fatality of 21%. Main pathogen for them was Gram-negative bacillus, accounting for 57% of the total. Two kinds or more of antibiotics had ever been administered in 98 cases (78%), with an average length of antibiotics use for 28 days, ranging from one day to 128 days. Nasal feeding was instituted for those with choking over their feeding and coughing, and their inspired feeding was aspirated from the trachea or bronchi and lavished with bronchoscopy, with 38 cases by tracheal intubation, 26 by tracheotomy and 42 with artificial ventilation. Their average duration of hospital stay spanned 28 days with an average cost of 25 000 RMB yuan per capita, significantly higher than that for those with common pneumonia. In conclusion, clinical features of these elderly patients with AP were not so typical, most of them manifest severe, with lots of medical cost and bad prognosis.